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NPI Code Detail

MEDICARE: JUN LIANG

MEDICARE:   JUN  LIANG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist10048-146WI

General Provider Information

NPI Number : 1336501543
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUN LIANG
Provider Business Mailing Address
First Line : E13858 COUNTY ROAD D
Second Line :
City : LA FARGE
State : WI
Zip : 54639-8514
Country : US
Telephone Number : 608-632-0214
Fax Number :
Provider Business Practice Location Address
First Line : 715 HILL ST STE 250
Second Line :
City : MADISON
State : WI
Zip : 53705-3572
Country : US
Telephone Number : 608-632-0214
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2016
Last Update Date : 03/26/2016

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Directions to “ JUN LIANG ” Practice Location

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